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1114054608
TAMARA MODILEVSKY
SYLMAR, CA
NPI
1114054608
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A40236)
Enumeration Date
2007-02-28
Last Update Date
2007-07-08
Business Address
Dr. TAMARA MODILEVSKY M.D.
14445 OLIVE VIEW DR RM 2B182
SYLMAR, CA 91342-1437
Phone number: 818-364-3205
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Mailing Address
Dr. TAMARA MODILEVSKY M.D.
3742 BALLINA CANYON RD
ENCINO, CA 91436-4112
Phone number:
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